ESH/form/client_master_form.php

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2024-10-23 18:28:06 +05:30
<script>
function validate() {
var employer_contractor = $('#employer_contractor').val();
if (employer_contractor == '') {
BootstrapDialog.alert('Please Enter Employer/Contractor Name.!!!');
return false;
}
var client_name = $('#client_name').val();
if (client_name == '') {
BootstrapDialog.alert('Please Enter Client Name.!!!');
return false;
}
var client_contact = $('#client_contact').val();
if (client_contact == '') {
BootstrapDialog.alert('Please Enter Client contact.!!!');
return false;
}
var client_email = $('#client_email').val();
if (client_email == '') {
BootstrapDialog.alert('Please Enter Client email.!!!');
return false;
}
// var remarks = $('#remarks').val();
// if(remarks == ''){
// BootstrapDialog.alert('Please Enter Remarks.!!!');
// return false;
// }
save_client();
}
</script>
<style>
#modal-add-patient {
overflow-y: scroll;
}
</style>
<div class="modal fade" id="modal-add-client" name="modal-add-client" role="dialog" aria-hidden="true">
<form role="form" id="client_form" name="client_form" action="#" method="post">
<div class="modal-dialog">
<div class="modal-content">
<div class="widget-header">
<h5 class="widget-title">Client Master Form</h5>
<div class="widget-toolbar">
<div class="widget-menu">
<a href="#" class="close" data-action="close" data-dismiss="modal">
<i class="ace-icon fa fa-times"></i>
</a>
</div>
</div>
</div>
<div class="modal-body">
<div class="form-group">
<label for="role">Client Name</label>
<input type="hidden" class="form-control" name="id" id="id" value="" required />
<input type="text" class="form-control" name="client_name" id="client_name" maxlength="70" placeholder="Enter Client Name" required />
</div>
<!-- <div class="form-group">
<label for="role">Client Locations</label>
<select multiple="" class="chosen-select form-control" id="client_location" name="client_location[]" data-placeholder="">
<?php echo generateOption('client_location', 'client_location', 'client_location_id', '', ''); ?>
</select>
</div> -->
<div class="form-group">
<label for="role">Contact</label>
<input type="text" class="form-control" name="client_contact" id="client_contact" maxlength="70" placeholder="Enter Contact details" required />
</div>
<div class="form-group">
<label for="role">Email</label>
<input type="text" class="form-control" name="client_email" id="client_email" maxlength="70" placeholder="Enter Email details" required />
</div>
<div class="form-group">
<label for="ailment">Remarks</label>
<input type="text" class="form-control" name="remarks" id="remarks" maxlength="70" placeholder="Enter Remarks" required />
</div>
</div>
<div class="widget-toolbox padding-8 clearfix">
<button type="button" class="btn btn-info btn-sm save_button" onclick="validate();"><i class="ace-icon fa fa-floppy-o bigger-110"></i>Save </button>
<button type="button" class="btn btn-danger btn-sm" data-dismiss="modal"><i class="ace-icon fa fa-times bigger-110"></i>Cancel</button>
</div>
</div>
</div>
</form>
</div>